<%@ Page Language="C#" MasterPageFile="~/MainMaster.master" AutoEventWireup="true" CodeFile="dentistUnsubscribe.aspx.cs" Inherits="Dentist_dentistUnsubscribe" Title="Untitled Page" %>
<asp:Content ID="Content1" ContentPlaceHolderID="MainTable" Runat="Server">
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    <div style="width: 94%; padding: 3%">
        <div style="background-color: #f4f4f4; width: 94%; padding: 3%">   <p align="center">
        <b>PERIODIC BILLING (CANCEL)</b><br>
        <br>
    </p>
    <br>
    <p align="center">
        A Periodic Billing Cancel Transaction with Minimum
        <br>
        Required Fields</p>
        <div align="center">
    <table border="0" width="75%">
        <tr>
            <td colspan="2" align="center"><asp:Label runat="server" ID="lblError" Visible="false" Font-Bold="true" ForeColor="red"></asp:Label></td>
        </tr>
        <tr>
            <td align="right">Total:</td>
            <td align="left" style="padding-left: 10px; width: 60%;"><asp:textbox runat="server" ID="txttotal" ReadOnly="true"></asp:textbox></td>
        </tr>
        <tr>
            <td align="right">Card Number:</td>
            <td align="left" style="padding-left: 10px;"><asp:TextBox runat="server" ID="txtCardNumber"></asp:TextBox></td>
        </tr>
        <tr>
            <td align="right">Exp. Month:</td>
            <td align="left" style="padding-left: 10px;"><asp:DropDownList CssClass="mainselection" ID="ddlMonth" runat="server"></asp:DropDownList></td>
        </tr>
        <tr>
            <td align="right">Exp. Year:</td>
            <td align="left" style="padding-left: 10px;"><asp:DropDownList CssClass="mainselection" ID="ddlYear" runat="server"></asp:DropDownList>
                <asp:RequiredFieldValidator ID="RequiredFieldValidator3" runat="server" ControlToValidate="ddlYear"
                        ErrorMessage="Select Expiry Year" Display="None" InitialValue="Year"></asp:RequiredFieldValidator>
            </td>
        </tr>
        <%--<tr>
            <td>Action:</td>
            <td>CANCEL</td>
        </tr>
        <tr>
            <td>Start Date:</td>
            <td><asp:TextBox runat="server" ID="txtstartdate"></asp:TextBox></td>
        </tr>--%>
        <%--<tr>
            <td>Periodicity:</td>
            <td><asp:TextBox runat="server" ID="txtperiodicity"></asp:TextBox></td>
        </tr>
        <tr>
            <td>Installments:</td>
            <td><asp:TextBox runat="server" ID="txtinstallments"></asp:TextBox></td>
        </tr>
        <tr>
            <td>Threshold:</td>
            <td><input style="width: 45px; height: 22px" size="4" value="pbthreshold" name="pbthreshold"></td>
        </tr>--%>
        <tr>
            <td align="right">Order ID:</td>
            <td align="left" style="padding-left: 10px;"><asp:TextBox runat="server" ID="txtoid" ReadOnly="true"></asp:TextBox></td>
        </tr>
        <tr>
            <td colspan="2" ><asp:Button CssClass="buttonclass" runat="server" ID="Submit" Text="Cancel Subscription" /></td>
        </tr>
    </table>
    </div>
   </div></div>
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</asp:Content>
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